Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dana Jackson

Individual provider Physical Therapist · NPI 1174530638

Dana Jackson is a Physical Therapist in Private Practice in Bremerton, Washington. Qualified in 1996, 30 years ago. Practices with Kitsap Physical Therapy and Sports Clinic Ps Inc, a 141-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
30
Licensed in
WA
In the registry since
2006
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Practice location Address checks out

2500 Cherry Ave Ste 203
Bremerton, WA 98310-4202
Phone: (360) 792-1015
Fax: (360) 792-0964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00007115 (WA)

Record details

NPI number1174530638
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJuly 8, 2007
Mailing address19319 7th Ave Ne Ste 100, Poulsbo, WA 98370-7442

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Kitsap Physical Therapy And Sports Clinic Ps Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bremerton